AF - 39377sus�ecr ERMIT NO.
City of Fridley ��16 8 8 7
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T �
', � REC
• COMMUNITY DEVELOPMENT DIV.
� ; .: ------, �f �3 c�
r � � PROTECTIVE INSPECTION SEC. � a 3,/
� � i
' � ����: � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�'"'"� � ��� 612-571-3450 910-F15
12/22/82 � �
JOB ADDRESS 5409 East Brenner Pass N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 12 TnnsI�ruck North Townhouse Plat C SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Road, �.obbinsdale 55422 536-9936
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECTOR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
ReS1C1eI1't17.�.
7 CLASS OF WORK
❑� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Cons truc t an 18' x 2 8' Tou�nhous e Uni. t("A" )
8 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. �OOd Fr3I�e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHiN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1. STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED yS`L�O�ZSO $ZO.13
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING coN- $242. 'rJO y�`425. OO
STRUCTION O THE PERFORMANCE OF CONSTRUCTION.
` � PLAN CHECKFEE TOTALFEE
� �� _ �'r�Z e $687.63
SIGNATURE CONTRACTORORAUTHORIZEDAGENT IDATEI 1/�IH PROPE Y ID TE HIS IS[�/Y�OURp yPERQM�vI�T
r �-y �_ / / �1 X �
/,y f �I Y
� 1,1' � ��� ��
SIGNATUREOFOWNEHiIFOWNERBUILDERI IDATEI LDG INSP �ATE
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS).
OWf7ER: DARREL A. FARR DEVELOPMENT CORP. gUZLDER:� S�
Address� 4600 LAKE ROAD' Address: �
R B ,
- Tel. No.: 536-9936
No.: 5409 str eet: East Brenner Pass
LOT: 3 �BLOCK: 12
CORNER LOT: . X INSIDE IAT:
ADDITION: 6th
SETBAQC: SIDEYARDS:
Applicant attach to this foxm mao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
nAn
n
_ HOUSE Front: 1$ Depth: 2$ Height: 28
,..
� Square Feet: 1512 G�bic Feet:
Front: Depth: Height:
. Square Feet: Gt�bic Feet: � .
R�►pe of Construction: WOOD FR�iME Estimated Cost: $ _3_,�5� ���„1-� ?;
Zb Be Completed: June 1983
Proposed Driveway Width If New Opening Is Desired
Alt. A Alt. B
$ $
(SEE REVERSE SIDE OF SHEET) .
The undersigned hereby makes application for a permi.t for the work herein
specified, agreeing to do all work i.n strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: Z �,L SIGNATURE:
Stipulations: .
� � ��-� ; �,
_�v �
.�-�� j ('� C ` ..�
�- � �,� �l l-,._�
:
� ¢ y
d
sus�ecT P E
City of Fridley 17 3 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� ; L ___�_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. I��Q Z
t ` , � �W
� ��"1 � CITY HALL FRIDLEY 55432 NUMBER REV. OATE PAGE OF APPROVED BV
�'"'""� � ,�� 612-571-3450 910-F15 1/17/84 / /
JOB ADDRESS 5409 East Brenner Pass N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1� �.2 Tnnsbruck North Townhouse Plat 6 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Darrel A. Farr Development Corp. 4600 Lake Rd. Mpls. ,NIl�t 55422 536-9936
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P PHONE LICENSENO.
6 USE OF BUILDING
Res.idential Townhouse Garac�e
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10' x 22 � Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. W,OOC� FT�e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 22O ZZOO
ANY TIME AFTER WORK IS COMMENCED. N0. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2r349. GO $�..I.%
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR H PERFORMANCE OF CONSTRUCTION. $3S. �JO
�, ,�-/' PLAN CHECK FEE TOTAL FEE
�� � �%'67 $39.67
SIGNATUR CONTRACTOfiORAUTHORI2EDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
� 1
SIGNATUREOFOWNERUFOWNERBUILDERI IDATEI •' '. G INSP qA '
�ffe�civ2 Aug. �, 1g81
�1�� �ir ��Z i i. �_Ci �
�T'f'LlCilTli�� FO(t RCSIDLiiT1P,� E3U)LD11;G PCid1lTS
4r����,, �1lteratians, �dditions� or �c�ai�s)
OE�fiER: Darrel A. Farr Development Corp. •�3U�L�ER: SAME �
�1D�RESS: 4 p r. kE R� M�.lt� � 1�V 55ti-2.2 �D�+ZCSS: �
TEL a0: 536-9936
STJt�T AtO: . 5409
��.: 10
T�L ItO:
�onstP`uction Location
��it�;T; East Brenner Pas
�LOex: 12 1�ni�ao:i : 6 th
Corncr aaot: Insielc I�t: � �etb�ck: �ideyards:
Ap,�lieant �ttach t.o �l�is gorm �s.�o Certificates of �rvey �f lot and
p_opored building loeati� dz�:+n on ccrtificates to seele.
DESCRIPTIO�� OF CO;tSZR�JCT10t�
Garage Faont: 10 �epth: 22 Nei9��= �0
gquarc i•cset: Cl�l�ic Fcet:
i�ront: �pth: Heigl�t:
Square �c�t; C�abic Tcet: _
S'��pe of Co..structi�n: Wood Frame
£stimated Cost: S 1.800
Zb Bc Cbr..plcte8: Januarv 1984
�lt. �► �►lt. B
Proposed Arivc►�ay ti�dth If AJc+a Op�ning Ts D�sise�: � S _
, S�i PLVF:iLL' SIAE OF SiIE�T .
1i�e undessianed hereb:� �nal:c� arplic�ticn goz a p^rr_it fcz the �ozE: he-ein sp�cified,
agreein3 to �,all �ork it� strict accozdznce yith the Ci�y of izidle�� Ordi��ances �nd
zulii��� of tl�e Del�.irtme��i of 13ui:c]ings, and he�ccb} decl�zes `�hat all 4el�c: facts and
�rcprecc�t.itiens statcd sn 4has applic�:taon �ae �zu� �:nd sorsect.
�: �: _ �- »-8N si��gurr:
;:tii�ulataons:
,
��
SUBJECT � � T'-�'_-�-.
City of Fridley '
�
AT THE TOP OF THE TWINS �����
� BU ILDING PERMIT
� � � RECEIPT NO.
� ; y _.___ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �
� � �
�
� � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV DAtE PAGE OF APPROVED Bv
�----� • •�J 612-571-3450 910-Ft5 9/20/94 � �
JOB ADDRESS 5409 East Brenner Pass NE
t LEGAL LOT NO. BLOCK TRACT OR AODITION SEE ATTACHED
DESCR. 3 12 Innsbruck North Townhouse Plat 6 SHEET
2 PfiOPERTY OWNER MAIL ADORESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Gittleman Construction Corp 7900 %er�ces Ave, Bloomin ton MN 55431 571-1023
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Decic Repairs
9 CHANGE OF USE FROM TO
STIPULATIONS
Deck construction including handrail, guardrail, spacing, etc. must comply with the
State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOH ELECTRICAL. PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE HEAD AND EXAMINED THIS APPLICATION ]. STALLS GARAGES
AND KNOW TME SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS yALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �L7O.00 �.SO
DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- @
STRUCTION R THE PERFOFiMANCE OF CONSTRUCTION. �p LS. OO Fire SC �. 27
PLAN CHECK FEE TOTAL FEE
$15.77
SIGNATUREOfCON'AAGTOAOAAUTM0�71ZEDAGENT iDnrEi _�yyHEN PFiOPERLY AI.IDATED THIS IS VOUR PERMIT
' � �� i
SiGNATURE OF OWNERUF OWNER BUILDERi IDATEI BLD �NSP paTE
NEW
ADDN
ALTER
IJ
Cl
[�
CtTY OF FRIDLEY
SINGLE FAMILY AND DUPLEX�5 R-1 .AND R-2
Building 1'ermit Application
Effective l /1/94
��°7 �.�
ConstrucdonAddress: ��� � E3I��,�..1 ti...I � 12 �aA�S
i.egal Description: ' �
,L�.55 G
Owner Name & Acldress: I►�! N 5 B Izu C K NO 2.-f'!-� "COv�I N N Gt�S � TeI � 831 Z SoS
Cvntractor: C���t.� MA �-! coti15T R-UG-rI p�l Go izP MA1 LICEPISE #
Address: -�v--tn v 1tE �- XE 5.��1 E�3Lo0 M I r�l C'a'f Or�l J�I 3 Z Tel. #�"7I � I D 2�
Attach to this application, a Certificate of Survey of the
lot, with the proposed constnrction drawn on it to scale.
LI4i1P<TG AREA�:
GE�RAGE ,�1REA:
DCCK AREA:
OTHER:
bESCRIPTIOW OF IMFROVEMENT
,L,ength Width Heiglit
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. F�
Sq. Ft.
Corner Lot C] Tnside Lot [] Ft: Yd Setback Side Yard Setbacks ��,
Type of Construcdon: D�-Gk �E,pal I�,S Estim�ted Cost: $�-' �7� ��
Approx. Completion Date: 1 a- 31- 9�{-
(Cost on back)
Driveway Curb Ci�t Width Needed: Ft. + 6 = Ft x$ -$
DATE: Gf - z� -� � APPLICANT: � Tel. # S-7 I-1 v�.� �
�ermit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
To'rA�
$ ' ����
$ � �`1
� � ��
$ '
$
$
$
$ .
$
$ /�-�
�!��i��'•I�
Fee Scheclule on Reverse Side
��°,�"
.001 of Permit Valuation (lllOth%) �
$.50/$1,0(}0 Va�uation
$SOfl rer SAC CJr�it
$�.QO (5tate Licensed ResiJenlial Contractors)
Alt. "A" or Alt. "I3" Abave
$450.00 Conservatian Plan Review
Fee betermineci. by Engineering
Agreement Necessary [ ] Not Neces.5ary [ ]
STIPULA"TIONS: ` � �
�• � �
� �
J
1MPO1��111� �M�SSAGE
FOR ' "' �
A. M. �
DATE J19 TIME �,°� P. M.
.. � .
M �� � ��'
OF �O
PHONE �+' � � � ` � `�
AREA COOE � . NUMBER � EXTENSION
� F,� � a a�����
❑ MOBILE
AREA CODE NUMBER E TO CALL
TELEPHONED PLEASE CALL �
CAME TO SEE YOU WILI; CALL AGAIN
WANTS T0 5EE YOU RUSH
RETURNED YOUR CALL SPECIAL ATtE1'�TtON
MESSAGE � S v
- - . _ .
i � c
-l� �=F (°� � .�
��.��„@'��
.
�
SIGNED �
TOPS � FORM 3002S
LITHO IN U.S.A.
�
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_. �
� _ � _
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. z � - �.: _ _, _ _ z e
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Building Job Report -------
ADURESS
OWNER _
BUILDER
PERMIT NO
INSPECTION RECORD
.� c or� � T
�� /`t //""'l�n`� � !:?.���n���� .
ir'"°ECTOR
OWNER - -`-p ✓n ` -
', C �
sua�ecr PERMl7 NO__
City of Fridley � � ,� � � 5
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
� � RECEIPT NO.
� 1 y______ COMMUNITY DEVELOPMENT DIV //
r � � PROTECTIVE INSPECTION SEC. � r� X
� , IJ
� ' �'�'1 � CITY HALL FRIDLE� 55432 NUMBER REV DATE aAGE OF AaPaOVED Br
�----�: ,.� 612-571-3450 9�0-F15 8/21/95 � /
J08 ADDRESS 5409 East Brenner Pass NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 3 I2 Innsbruck North Townhouse Plat 6 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Leann Ra.werts 5409 East Brenner Pass NE
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO
Same
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WOFK
❑ NEW ❑ ADDITION C� ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Basement alteration
9 CHANGEOFUSEFROM TO
STIPULATIONS See notations on plan.
TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD
SEPAqATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
7HIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PFOVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 1� 4ZS `P • 71
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��►8.5� Fire .S�', �1.�F3
PLAN CHECK FEE TOTAL FEE
$50.64
NATUAEOFCON'RACTOAOAAUTHOAIZEDAGENT IDATEI H N Fi P R V IDATED THIS IS YOUR�EF]MIJ�
�7/1.0J
(i6,�� / / �,;. .Y.I
aC-��G'l,�t,d�-E�GL ' � `� %� _ ci
SiGNATUREOFpWNERiIFOWNERBUILD RI IDATEI BL �N P D/.TE
�::ft;;>;:;t , �;'�.?:�t .... . ... . ... . . .�,•�;i:•: . ... . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •
NEW [)
ADDN [�
ALTER � ]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
���� �f�
Owner Name & Address:
Contractor: .���Z
-�,�� � ,r���f
��� ,���r
Tel. #
MN LICENSE #
�ffective 8/1/95
Address: Tel. #
��� �-. n'�—
Attach to this applica.tion, a Certificate of Survey of the �� �/ �� �°D�
lot, with the proposed construction dra.wn on it to scale. ���y,�(
��f<� � ra � ,I� J
DESCRIPTION OF IMPROVEMENT
LIV�NG AREA: Length Width Height � �q. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECg AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: /��',J'��•�. �..- f� G➢C�z�� �n sf � _
Coraer Lot [] Inside Lot [] - Ft. Yd Setback Side Yard Setbacks
Ty� of Construction: E��� C��� $ —
Approx. Completion Date:
(Cost on Back) ,�
Driveway Curb Cut Widtb Needed: Ft. + 6 Ft = Ft x$ _$ ��� �" �7g� _
DATE: APPLICANT `'� � Z(�;�.�- Tel. # ���'% �
Permit Fee
Fire Surcharge
Sta.te Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park F�
Sewer Main Charge
TOTAL
STIPULATIONS:
�i
� y� 3�
$ �� �l�
$ ,��
$
$
$
$
$
$
$ S� r � �
CITY USE ONLY
Fee Schedule on Reverse Side
.�1 of Permit Valuation (1/lUth%)
$.50/$1,000 Valuation
$S50 per SAC Unit
$5.� (Sta.te Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.� Conservation Plan Review
F� Determined by Engincering
Agreement Necessary [ ) Not Necessary [ ]
�iJILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
siructure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,�
$2,(?U1 to $25,000
$25,�1 to $50,000
$50,�1 to $100,UQ0
$100,t�1 to $5�,000
$500,�1 to $1,000,�
$1,0�,�1 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$22 for first $5� plus $2.75 for each additional $1Q0 or
fraction thereof, to and including $2,000
$62.25 for first $2,(�00 plus $12.50 for each additional $1, 000
or fraction thereof, to and including $25,(TQO
$349.75 for first $25,0� plus $9.� for each additional$1,000
or fra.ction thereof, to and including $50,�0
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereaf, to and including $100,0�
$887.25 for first $100,�0 plus $5.(� for each add.itionai
$1,000 or fraction thereof, to and including $500,�0
$2887,25 for the first $500,000 plus $4.25 for each additional
$1,� or fraction thereof, to and including $1,OQ0,000
$5012.25 for the first $1,0�,(�0 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replac�ment of curb and gutter only - Driveway width plus b feet times $13.�.
Alternate "B" : Removal and repla.cement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet tim�s $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 2A� hours from the time of application to allow for proper
review of the proposed structure and of the consiruction site.
A Certificate of Survey of the lot, showing the la;ation of the foundation once it has it has been constructed
will be required before proceeding with the framing,
GIL� FTT� RECEIVING ID� RUG 03'95 15�06 �0.003 P.02
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c;ty of Fridiey
AT THE TOP OF TME TW�N5
i�
� �
� `v ����� � COMMUNITY DEVELOPMENT DIV.
f � � PFOTECTIVE INSPECTION SEC.
� _ �
� �"'1 � CITY NALL FRIDLEv �5132
�'""� � �'' 612-571-3450
Sue�acT
BU ILDII�IG PERMIT `
NUMBEN - pEV DATE � PAGE Of
910-ft5 6/27/00 / /
31090
��� �
APPROYED B�
JOB ADORESS
5407 09 11 13 15 17 East Brenner Pass
1 LEGAL lOT NO. 9LOCK TIiACT Op ADOITION SEE ATTACNED
oescp. 1-6 12 Innsbruck North Townhouse Plat 6 SMEET
2 PROPERTY OWNER MAIL ADORES$ 21V PMONE
Innsbruck Townhome Association �tSt3E5f88 651-224-5482
3 CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Garlock-French Roofing Corp., 2301 E. 25th St., Mpls., NIN 55406 612-722-7125 0000142
� ARCNITECT OR DESIGNER MAIL ADDRESS ZIP PMONE LICENSE NO
5 ENCi1NEER
�
8
Residential
OF WORK
O NEW
MAII AODiiESS
O ADOITION O ALTEFiAT10N O REPAIR
Reroof Townhouse Building (Tear Off�
8 CHAN(iE Of USE FROM
STIPULATIONS
TO
PNONE IICENSE NO
O MOVE O REMOVE
Underlayment must comply with the State Bui�.ding Code.
���r��t InspeGtion Cards
!�NNid� �e Maii�d
�� �ot�eowner To Post
TYPE OF CONST.
SEPARATE PERMITSApE REOUIREO fOR ELECTRICAL, PLUMBING, MEATINO.
VENTILATING AR AIR CONOITIONING
?MIS PERMIT BECOMES NULL AND VOIO If WORK OR CONSTRUCTION 20N�NG
AUTMOflIZEO IS NOT COMMENCEO WITMIN 80 DAYS. OR IF CON57RUCTION
OF WORK IS SUSPENDED OR ABANOONED fOR A PER100 OF 120 pAYS AT
ANY TIME AFTEF WORK IS COMMENCED. NO OWLG. UNI7S
1 NEiiEBV CERTIfY THAT 1 MAVE iiEAD AND EXAMINEO THIS APPLICATION 6
AND KNOW TME SAME TO BE TRUE ANO CORFiECT. ALl PROVISIONS OF �AW$ yp�UATION
AND OROINANCES GOVEfiNING TMIS TYPE OF WORK WILL 8E COMPLIEO ,�22 067.4
WITH WHETMER SPECIFIED MEREIN Oii NOT. TNE GRANTtNG OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTMORI7Y TO VIOLA7E Oii CANCEL TME pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR IOCAL LAW REGULATING coN• �363. ZS
STRUCTION OR 7ME PERfORMANCE OF CONSTRUC710N
S�GNAiUpEO�CON:AICTQAOp�UTMOp�2E0�GENT iD�TE�
OGGUPANCY GROUP OCCUPANCV�(
SO. FT CU FT.
OFFSTREET PARKING
S7A�15 GARAGES
SUpTAX
0 $11.00
SAC CMAAGE
Fire SC $22.00
TOTA�FEE
396.25
VALjp D THIS IS YOUFLPERMIT.
SUBJECT
City of Fridley
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
i •
� �
� ; v __�___ COMMUNITY DEvELOPMENT DIV.
r � � PFOTECTIVE INSPECTION SEC.
� . �
� _ �"'1 � CITY MIALL FRIOLE� SS�32 NUMBEf1 i1EV O�TE PAGE O�
�----�% ,•' 763-571-3450 910-F15 8/22/02 / /
JOB ADDRESS 5409 East Brenner Pass NE
1 IEGAI LOT NO. BLOCK TRACT OR ADOITION
DESCR. 3 12 Innsbruck North Townhouse Plat 6
�MIT NO.
33010
���
APVROVED BY
SEE ATTACMED
SHEET
� PROPERTY OWNER MAIL ADDFiESS 21P PMONE
Degoiler, Griffith 5409 East Brenner Pass NE 574-2438
3 CONTRACTOR MAII ADORESS ZIP PHONE LICENSE NO
Hendel Construction 4997 Page Ave NE, Rogers, MN 55374 428-7992 20192808
1 ARCNITECT OF DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER
8 USE OF BUILDING
Townhouse
7 CLASS OF WORK
MAIL AODRESS
❑ NEW 0 ADDITION ❑ ALTERATION
B DESCRIBE WORK
Repair Chimney
9 CHANGE OF USE FROM
TO
� REPAIR
PHONE LICENSE NO
O MOVE ❑ REMOVE
STIPULATIONS
Firestop all fireplace chases per Section 708.2.1 1997 Uniform Building Code.
TVPE OF CONST.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDI710NING
TMIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCEO WITMIN 80 DAYS. OR IF CONS7RUCTION
OR WORK IS SUSPENDED OR ABANOONEO FON A PERIOD OF 120 DAYS AT
ANV TIME AF7EF WORK IS COMMENCED. NO OWLG. UNITS
I HEREBY CERTIfV THAT I HAVE READ AND E%AMINED TNIS APPLICA710N 1
AND KNOW THE SAME TO BE TRUE AND CORi;ECT. A�L PROVISIONS OF LAWS yp�UATION
AND ORDINANCES GOVERNING TNIS TVPE OF WORK WILI BE COMPLIEO @
WITN WHETHER SPECIFIED MEFEIN OR NOT THE GRANTING OF A PERMIT W3fSOO
DOES NOT PqESUME TO GIVE AUTMOfi17V TO VIOLATE OR CANCEL TME pERMITfEE
PROVISIONS OP ANY OTHER STATE Ofi LOCAL LAW REGULATING CON-
STqUCTION OR THE PERFORMANCE OF CONSTRUCTION �9%•2S
P�AN CNECK FEE
� 'L2 '�Z Licen C
SIGNATUQE OF CON��7ACTOA O vuTHOAiZEO aGENi I ATE� uc eer
S�GN4TUqE O� OWNEp ��� OWNEA BWLDEA� iD�iEi
0
OCCUPANCY GiiOUP OCCUPANCV�OAD
SO. FT CU FT
OffSTREET PARKING
STALLS GARAGES
SUR7AX
$1.75
SAC CHARGE
Fire SC $3.50
TOiALFEE
5 0 $107.50
VALIOAT THIS IS VOU�i PEiiMIT
� � ���
r��tt
N� I� CITY OF FRIDLEY Effec�ve 1/1/2002
ADON (] 6431 University Ave NE, Fridley. MN 55432 (763) 572�6p4 Bidg Insp
�� ( j SINGLE FAMILY AND DUPLEXES R•1 AND R-2
BUILDING PERMIT APPLICATION
�� ���'�
Construction Address: ��� % �� �� o� /�yPc� t
Legal Oescription:
Owner Name 8 Address: �� �z � �'�. �o,ra l `(o� Tel. # �7`{ ���
Contractor. ��r-1 ,����� MN L(CENSE # �(9�-3� 33�
Address: TeI. #
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this applicatian, a Certficate of Survey of the
lot, with the proposed consUuction drawn on it to scale.
DESCR1PT10N OF IMPROVEMENT
Length Width - Height Sq. Ft
length Width Height Sq. Ft
Length Width Hgt/Ground S�. Ft
Construction Type: ! � � � c��
`�- � G��-Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$
DATE: � `� �- APPUCANT: ,�`-� _ J Tel. # � Z ` �c� �-- 3v
Call (763) 572�604 for Permit Fees if mailing in application or Fax to 763-�71-1287 if using credit card and we will
call you tor card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
�� ��_
$
$ •�
$ � ��s
$
$ as � � �
$
$
$�
$
� /C� `�, �?�
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1 �000 Valuation
$1200 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by�Engineering
Agreement Necessary [ ] Not Necessary [ )
STIPULATIONS:
��' �� ��� �.��LAA� ���i�E�. �-.,��`c
� .
��.�.1 1�97 c� ��.
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
betow set forth and in the manner herein provided co-wit:
TOTAL VALUE
� 1 to $500
�501 to $2,000
�2.001 to. $25,000
$25,001 to $50,000
�50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 ptus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.2� for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereo�, to and including $1,00O,OOU
�1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feeC�imes $17.00.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be
required before proceeding with the framing. New Houses Onlv